Ohio Environmental Council Family of Organizations Event Request
Thank you for your interest in the Ohio Environmental Council and/or Ohio Environmental Council Action Fund for your upcoming event. Please fill out the following form to help our staff understand your event/speaking engagement opportunity. We will respond shortly with our availability. 
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Email *
REQUESTER CONTACT INFORMATION
Please tell us a bit about you and your organization.
Organization Name
 *
First & Last Name of Contact Person
 *
Email Address of Contact Person
 *
Phone Number of Contact Person
 *
EVENT/SPEAKING ENGAGEMENT INFORMATION
Please tell us a bit about your event and speaker needs.
Event Details (2-3 sentence description of the event)
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Event Name
 *
 Event Date (if known)
MM
/
DD
/
YYYY
 Event Date (if not planned yet, please indicate the days you are exploring) 
Event Time(s)
Event Location
 *
(If online, please indicate by writing "virtual")
Expected Number of Attendees
 *
Event Audience (for example: employees, general public)
Is this an annual or recurring event?
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How can we help at your event?
 *
Required
SPEAKER INFORMATION
If you're requesting a speaker for your event, please fill out the following sections. 
Organization Request
Topic of Interest/Expertise Needed
Name of Preferred Event Speaker
(If you know the name of the person, please share here)
Speaking/Presentation Duration (in minutes)
Please provide any additional details here for consideration (topics, audio/visual components, available honorariums, etc.)
Can we add you to our email list to receive notifications about environmental policy action items, exciting events, and more?
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